Graduate Survey – Radiologic Technology

Graduate Survey

Graduate Information

Name

Year Graduated

Institution Name

JRCERT Program #

Employment

Years

and months

Maiden Name

E-Mail Address

Present Employer

Position

I. Knowledge Base (Cognitive Domain)

INSTRUCTIONS: Consider each item separately and rate each item independently of all others. Select the rating that indicates the extent to which you agree with each statement. Please do not skip any rating. Select N if you do not know about a particular area.
5= Strongly Agree 4 = Generally Agree 3 = Neutral (acceptable) 2 = Generally Disagree 1 = Strongly Disagree N = Not Applicable